| NPI | 1760554521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0067559) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 28726) |
| 208600000X Surgery (Licence: MO 2003031471) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-10-22 |