| NPI | 1548499692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME123571) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-057088) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2024-06-12 |