| NPI | 1497134407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-00586) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 210436) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-02-15 |