| NPI | 1801836424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-02614) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD59668) |
| 208600000X Surgery (Licence: OH 35-087474) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-12-18 |