| NPI | 1437509932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MT211802) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 88163) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-09-04 |