| NPI | 1033405097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME158086) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301099159) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-10-26 |