| NPI | 1841405891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 99170) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 510106908) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2022-01-03 |