| NPI | 1043426158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2018-02489) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.094217) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-02-07 |