| NPI | 1356609374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OR MD210833) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 73045) |
| 208600000X Surgery (Licence: OR MD210833) | |
| 208600000X Surgery (Licence: WI 73045) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2022-10-18 |