| NPI | 1184642167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA a69935) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00043763) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-10-19 |