| NPI | 1811457815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0075676) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116032701) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-08-19 |