| NPI | 1780843185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A105375) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD199112) |
| 208600000X Surgery (Licence: CT 57058) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-02-03 |