| NPI | 1043331788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MDR-5205) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301082981) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-12-13 |