| NPI | 1881072940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 88999) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 008421) |
| 208600000X Surgery (Licence: IL 036-161760) | |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2025-08-05 |