| NPI | 1588898761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0059346) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-8650) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2020-11-04 |