| NPI | 1164656500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301510219) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 43420) |
| 208600000X Surgery (Licence: CT 56803) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2023-09-13 |