| NPI | 1942628425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 03432) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2020-03432) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-12-20 |