| NPI | 1043743099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A175496) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 69803-20) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-04-28 |