| NPI | 1831621606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 24139) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2022-01194) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-08-07 |