| NPI | 1811344146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: ME MD27087) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03605) |
| 2086S0129X (Licence: NH R3811) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2025-04-08 |