NPI | 1285096818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101279086) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 316429-01) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2023-10-10 |