| NPI | 1104065259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A139253) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10031148) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2021-11-29 |