| NPI | 1811125966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101276215) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2014-01282) |
| 208600000X Surgery (Licence: SC LL31863) | |
| 208600000X Surgery (Licence: GA 074475) | |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2022-10-11 |