| NPI | 1760799175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35-121545) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.121545) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2023-09-14 |