| NPI | 1396906533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101254169) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 58621) |
| 208600000X Surgery (Licence: WI 65696-20) | |
| 208600000X Surgery (Licence: ND PT17488) | |
| 208600000X Surgery (Licence: ND 17488) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-01-16 |