| NPI | 1649534231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MO 2020026557) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 69614) |
| 208600000X Surgery (Licence: MO 2020026557) | |
| 208600000X Surgery (Licence: IL 125061738) | |
| 208600000X Surgery (Licence: WI 69614) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2021-03-23 |