| NPI | 1205888732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0030500) |
| Additional Taxonomies | 208600000X Surgery (Licence: ID M8325) |
| 208600000X Surgery (Licence: CA G89174) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-03-10 |