| NPI | 1730405812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 74858) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017024860) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2023-09-01 |