| NPI | 1437444841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 20A15383) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101019406) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-07-21 |