| NPI | 1881134567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS20401) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS021908) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2023-08-14 |