| NPI | 1386983286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61543808) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 57467) |
| 208600000X Surgery (Licence: CA A120496) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2025-05-12 |