NPI | 1265962401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.153206) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 271084) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2025-07-28 |