| NPI | 1629092309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G148486) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 213256) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-11-11 |