| NPI | 1477817567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0074214) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 70058) |
| 208600000X Surgery (Licence: MN 56580) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2024-11-05 |