| NPI | 1841604246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-16605) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT207444) |
| 208600000X Surgery (Licence: MI 4301108265) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-07-20 |