| NPI | 1548480742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61356110) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MD-12516) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-11-02 |