| NPI | 1689893281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2017-02471) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 32244) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-10-17 |