| NPI | 1427065929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301078154) |
| Additional Taxonomies | 208600000X Surgery (Licence: SD 5905) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-11-27 |