| NPI | 1518074053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME106384) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 43451020) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-04-11 |