| NPI | 1730447251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 77119) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY R2933) |
| 208600000X Surgery (Licence: ME MD21753) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2024-09-25 |