| NPI | 1225216088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 53325) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.098728) |
| 208600000X Surgery (Licence: CA A98107) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2022-12-02 |