| NPI | 1881378735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 16375) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2023019838) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-06-30 |