| NPI | 1215241427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MO 2011026859) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2010024120) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2022-09-24 |