| NPI | 1700989795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME71831) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME71831) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-07-07 |