| NPI | 1861610339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 074215) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101255590) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-09-23 |