| NPI | 1609233774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 74146) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 140213) |
| 208600000X Surgery (Licence: GA 89119) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2023-08-17 |