| NPI | 1558651547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MO 2011017407) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2011017407) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-08-31 |