| NPI | 1700095155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M7644) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX M7644) |
| 208600000X Surgery (Licence: GA 85580) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-04-29 |