| NPI | 1811962202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA OS023578) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 11317) |
| 208600000X Surgery (Licence: IN 02001583) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-10-21 |