| NPI | 1245502954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A104718) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA A104718) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2022-01-24 |