| NPI | 1215038138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301053273) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G195633) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-09-11 |