| NPI | 1649363532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 030627) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 90268) |
| 208600000X Surgery (Licence: WI 2607) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-07-16 |