| NPI | 1023315348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD H0088668) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC NC2015-02212) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2024-10-04 |