| NPI | 1750483970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 42594) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 40395) |
| 208600000X Surgery (Licence: WV 18634) | |
| 208600000X Surgery (Licence: MN 39565) | |
| 208600000X Surgery (Licence: AK 4648) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-07-25 |