| NPI | 1831682574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D90880) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL52546) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2022-02-24 |