NPI | 1316471014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X (Licence: SC 94150) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT213272) |
2086S0129X (Licence: NC 315570) | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2025-07-15 |