| NPI | 1730448184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M-14333) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2024-00485) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-07-01 |