| NPI | 1275732067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101267208) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 37870) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2022-07-26 |