| NPI | 1215059506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036164424) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 05142) |
| 208600000X Surgery (Licence: OH 34.015496) | |
| 208600000X Surgery (Licence: IN 02003690A) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-12-19 |