| NPI | 1528159522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 50618) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 32328) |
| 208600000X Surgery (Licence: CT 032328) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-02-16 |