| NPI | 1669815239 |
|---|---|
| Former Name | GENER S AUGUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NC 2018-01486) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2018-01486) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2021-11-10 |