| NPI | 1467938084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 96435) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351035412) |
| 208600000X Surgery (Licence: MI 4301115839) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-10-11 |