| NPI | 1144666322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 20A18219) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS16296) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2020-10-02 |