| NPI | 1497982581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 66665) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35122903) |
| 208600000X Surgery (Licence: MD D85746) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2020-09-02 |