| NPI | 1467740928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME117379) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL33951) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-03-18 |