| NPI | 1437597556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD193981) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 58148) |
| 208600000X Surgery (Licence: CA A154791) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-12-07 |