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 |