NPI | 1104020940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 350887788) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301108892) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2023-11-03 |