| NPI | 1053515429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: FL OS22591) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 60418) |
| 208600000X Surgery (Licence: OH 34C.000502) | |
| 2086S0129X (Licence: MN 60418) | |
| 2086S0129X (Licence: IN 02005581A) | |
| 2086S0129X (Licence: OH 34C.000502) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2025-09-11 |