| NPI | 1629139928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M6930) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A149629) |
| 208600000X Surgery (Licence: TX BP10024434) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-05-21 |