| NPI | 1013178391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A127444) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA AH 1918018-4963) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-04-20 |