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 |