| NPI | 1457851610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 9546) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101023766) |
| 208600000X Surgery (Licence: MI 5151011803) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2023-08-06 |