| NPI | 1215299656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 26956) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME136708) |
| 208600000X Surgery (Licence: TN 59803) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2019-12-17 |