| NPI | 1750511655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME170926) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-9800) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2024-12-17 |