| NPI | 1356954572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 50.006587RX) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 50.006587) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |