| NPI | 1144549080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101018414) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD H79792) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-07-29 |