| NPI | 1821356601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 99331) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-10631) |
| 208600000X Surgery (Licence: FL OS-18050) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2025-01-22 |