| NPI | 1467614982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 328638) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P3997) |
| 208600000X Surgery (Licence: OH 35.097290) | |
| 208600000X Surgery (Licence: IL 036.120857) | |
| 208600000X Surgery (Licence: GA 069992) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-04-18 |