| NPI | 1437290038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A63112) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00044301) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-05-13 |