| NPI | 1043405830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A108655) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA resident) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2022-06-23 |