| NPI | 1851134274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ R81782) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2024018792) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2025-06-03 |