NPI | 1154649382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD171289) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A110462) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2025-07-16 |