| NPI | 1538484456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 20580) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ AZ5717) |
| 208600000X Surgery (Licence: AZ 53446) | |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2021-02-01 |