NPI | 1215291604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AZ 58890) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2012017801) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2025-06-10 |