| NPI | 1467711556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q8545) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10044091) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-07-11 |