NPI | 1104051200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD451073) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT194819) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2023-05-04 |