| NPI | 1518199728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0055768) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A107360) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2021-06-14 |