| NPI | 1215382411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 83356) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.142549) |
| 208600000X Surgery (Licence: MN 22994) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-04-07 |