NPI | 1821300963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2021-02870) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301096880) |
208600000X Surgery (Licence: MN 62347) | |
Enumeration Date | 2010-07-06 |
Last Update Date | 2021-10-26 |