| NPI | 1821316266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0065602) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A105672) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2022-06-29 |