| NPI | 1821042060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101276400) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2001018694) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-12-09 |