| NPI | 1730344912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A111146) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME119192) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2021-12-06 |