| NPI | 1861443442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0051883) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 35511) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-05-19 |