| NPI | 1134542319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MTL003676) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD210012023) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-02-02 |