| NPI | 1265591515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA G56808) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G56808) |
| 208600000X Surgery (Licence: CA G56808) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-04-29 |