| NPI | 1730113218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD00046199) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2013-01735) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-04-26 |