NPI | 1356637037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: KS 05-38968) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101019467) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2021-03-18 |