| NPI | 1275760902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS17253) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101018327) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2024-08-20 |