| NPI | 1407924434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC 043837) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60276242) |
| 208600000X Surgery (Licence: IL 036132425) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-05-09 |