| NPI | 1427092881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME171354) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 054837) |
| 208600000X Surgery (Licence: MA 295549) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-02-03 |