| NPI | 1336293760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 237770) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 225335) |
| 208600000X Surgery (Licence: NH 16678) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-05-03 |