| NPI | 1174053318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A187629) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 271803) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-08-09 |