| NPI | 1487818597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2019-00175) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 051813) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2021-03-29 |