| NPI | 1790946143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A87084) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A87084) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-11-24 |