| NPI | 1235421314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2024-00176) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA IA-42112) |
| 208600000X Surgery (Licence: IA R-9106) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2024-05-20 |