| NPI | 1891228771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-02185) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.160518) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-02-23 |