| NPI | 1275053670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301512442) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301113326) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-08-05 |