| NPI | 1477819811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 063931) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 50387) |
| 208600000X Surgery (Licence: IL 036155726) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-09-09 |