| NPI | 1902224694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C202170) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD205727) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2025-06-17 |