| NPI | 1578927562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID 4461777) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.148371) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-11-27 |