| NPI | 1255587598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX S5657) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 250774) |
| 208600000X Surgery (Licence: OK 29998) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2023-10-23 |