| NPI | 1487894069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 93796) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI MD13956) |
| 208600000X Surgery (Licence: SC 36215) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-11-15 |