| NPI | 1881924819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: WI 77962-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10023656) |
| 2086S0129X (Licence: TX N6891) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-06-12 |