| NPI | 1407176274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q6860) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP2-0041560) |
| 208600000X Surgery (Licence: TX BP10037827) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-03-01 |