| NPI | 1578528717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD34228) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO CDR.0001584) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-03-01 |