| NPI | 1093925182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C151087) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR LL15958) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-09-23 |