| NPI | 1235496944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD184172) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR PG178625) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2022-07-21 |