NPI | 1700147212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101266111) |
Additional Taxonomies | 208600000X Surgery (Licence: WV 29284) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2023-02-09 |