| NPI | 1891027710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO CDRH.0055779) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R71462) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2022-08-02 |