| NPI | 1215181516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI LICN-001041469) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME97649) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-09-21 |