| NPI | 1851632392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AK 143303) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-11311) |
| 208600000X Surgery (Licence: MI 5101020479) | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2025-02-03 |