| NPI | 1730618158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2024029797) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301506682) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-10-07 |