| NPI | 1235114372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.134546) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2001-00782) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-12-28 |