| NPI | 1477888964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 91546) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2011-01359) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2022-08-03 |