NPI | 1679866537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS14294) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT014216) |
Enumeration Date | 2011-05-25 |
Last Update Date | 2016-11-08 |