NPI | 1255358115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35-089052) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 051958) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2021-01-12 |