| NPI | 1083660013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101254110) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2005019927) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-11-16 |