| NPI | 1821677188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 1740382993) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA ASW21803) |
| 208600000X Surgery (Licence: CA A103185) | |
| 208600000X Surgery (Licence: CA 080000062) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |