| NPI | 1851658710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VA 0101275423) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 61850) |
| 204F00000X Transplant Surgery (Licence: OH 35.143194) | |
| 208600000X Surgery (Licence: WI 61850) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2023-08-09 |