| NPI | 1841615606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA A154805) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60675079) |
| 2086S0129X (Licence: WA MD60675079) | |
| 2086S0129X (Licence: PA MT200104) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2022-10-25 |