| NPI | 1851714471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: CO DR.0068576) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0068576) |
| 208600000X Surgery (Licence: MD D87031) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2024-05-01 |