| NPI | 1245524222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 20952) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 65685 - 20) |
| 208600000X Surgery (Licence: RI LP02338) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-11-05 |