| NPI | 1760679591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MO 2025035875) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A97147) |
| 204F00000X Transplant Surgery (Licence: CA A97147) | |
| 208600000X Surgery (Licence: MO 2025035875) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2025-09-08 |