| NPI | 1316200678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 22445) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.140203) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-06-08 |