| NPI | 1063574101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301501661) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 229207) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-02-26 |