| NPI | 1528401205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 63840) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 1528401205) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-09-08 |