NPI | 1699905224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301094459) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036141696) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2016-12-12 |