NPI | 1356637607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101260566) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2015-00345) |
208600000X Surgery (Licence: GA 71145) | |
Enumeration Date | 2011-06-24 |
Last Update Date | 2018-06-15 |