| NPI | 1073856787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.143080) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2020-01877) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2021-09-20 |