| NPI | 1861624264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 9367) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.122652) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2022-03-25 |