| NPI | 1821208778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS15443) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 2585) |
| 208600000X Surgery (Licence: FL Os15443) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-03-09 |