| NPI | 1093938854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 34.009298) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101015313) |
| 208600000X Surgery (Licence: NE 537) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-09-04 |