NPI | 1205396397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD219471) |
Additional Taxonomies | 208600000X Surgery (Licence: DC MD600004247) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2025-07-22 |