| NPI | 1821286824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX P4446) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10029121) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2024-01-18 |