| NPI | 1275563686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO CDRH.0060298) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 40712) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-12-19 |