| NPI | 1427068212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 50928) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35088083) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-11-17 |