| NPI | 1215089891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX P7553) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2007011080) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-03-21 |