| NPI | 1649579889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME163972) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019031578) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2023-09-01 |