| NPI | 1932491719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q6744) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO CDR.0002392) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2025-07-30 |