| NPI | 1811284417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0060939) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116023664) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-04-13 |