NPI | 1700381456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301513080) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 29176) |
208600000X Surgery (Licence: MN 65884) | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2025-07-21 |