| NPI | 1275568388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G68578) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G68578) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-04-27 |