| NPI | 1609210558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 70899) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 49614) |
| 208600000X Surgery (Licence: MN 67507) | |
| 208600000X Surgery (Licence: AZ R73759) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-04-25 |