| NPI | 1982058970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101275003) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 69080) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2024-01-12 |