| NPI | 1003266701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA A189817) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R75829) |
| 2086S0129X (Licence: IL 036.154827) | |
| 208600000X Surgery (Licence: CA A189817) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-08-07 |