| NPI | 1831144260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 32486) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 24700) |
| 208600000X Surgery (Licence: GA 71993) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-12-21 |