| NPI | 1821226143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 54950-020) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA C174585) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-12-26 |