| NPI | 1124462270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101273837) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301501913) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2023-08-09 |