| NPI | 1841601242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2020-0649) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0075882) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2025-08-18 |