| NPI | 1851335418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-00982) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 58914) |
| 208600000X Surgery (Licence: GA 85674) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-19 |