| NPI | 1740227552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME0046343) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-043283) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-09-02 |