| NPI | 1780046334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A152117) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35142002) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-11-21 |