| NPI | 1891356994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 84207) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351045606) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2024-11-06 |