| NPI | 1881850600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2019026085) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-7623) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-08-20 |