NPI | 1457475451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WY 8475A) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301086409) |
208600000X Surgery (Licence: UT 6989425-1205) | |
Enumeration Date | 2007-03-17 |
Last Update Date | 2020-01-21 |