| NPI | 1528280583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 41944) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008017) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-08-31 |