NPI | 1245684083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 92616) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME133827) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2022-11-14 |