| NPI | 1528448297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.066894) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 75982) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-02-21 |