| NPI | 1982864179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101246005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246005) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-03-19 |