NPI | 1326304908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX R5651) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R5651) |
Enumeration Date | 2012-04-08 |
Last Update Date | 2025-09-04 |