NPI | 1164782157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD H91599) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101019971) |
208600000X Surgery (Licence: NC 2017-00845) | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2021-10-20 |