| NPI | 1477999852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2024006687) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S7135) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-09-16 |