| NPI | 1659756559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO Dr0057711) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO TL0005471) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2021-12-21 |