| NPI | 1942428784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T9078) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 268804) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-12-15 |