| NPI | 1396090189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-02816) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA MT202105) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-02-02 |