NPI | 1235581265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CO CDR.0004541) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-10749) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2025-01-16 |