NPI | 1164886826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD481611) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 27520) |
208600000X Surgery (Licence: MN 64177) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-09-15 |