| NPI | 1346687662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T4629) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP02746) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-10-21 |