| NPI | 1578090296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ZZ 92292) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD-2018-0086) |
| 208600000X Surgery (Licence: AZ 42110) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-12-07 |