| NPI | 1467540732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301076706) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-4903) |
| 208600000X Surgery (Licence: OH 35148075) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2026-08-06 |