| NPI | 1225361736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME134658) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 12405) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-09-03 |