| NPI | 1689966285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A147517) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10041439) |
| 208600000X Surgery (Licence: OK 29075) | |
| Enumeration Date | 2011-05-14 |
| Last Update Date | 2021-12-01 |