NPI | 1467617423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KY 47398) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2013015509) |
208600000X Surgery (Licence: IL 125055417) | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2020-12-08 |