| NPI | 1235177098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: TX L0286) |
| Additional Taxonomies | 2086S0129X (Licence: SC 87028) |
| 208600000X Surgery (Licence: TX L0286) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-02-24 |