| NPI | 1558741181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 20966) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5315070015) |
| 208600000X Surgery (Licence: MI 4301107237) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-11-05 |