| NPI | 1992090401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 67742) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125059770) |
| 208600000X Surgery (Licence: GA 078631) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2025-06-16 |