| NPI | 1093098824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 83461) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 60507) |
| 208600000X Surgery (Licence: AL 36039) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2020-08-06 |