| NPI | 1265828883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 96960) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301507139) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-08-23 |