| NPI | 1407951924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME97216) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-070018) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-12-04 |