| NPI | 1134448269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: TN 59921) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 54698) |
| 2086S0129X (Licence: CT 54698) | |
| 2086S0129X (Licence: VA 0101279557) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-08-28 |