| NPI | 1891714606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NH 24776) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA md00042686) |
| 2086S0129X (Licence: VA 0101281470) | |
| 2086S0129X (Licence: PA MD433539) | |
| 2086S0129X (Licence: WI 1078) | |
| 2086S0129X (Licence: TN 59233) | |
| 2086S0129X (Licence: ME MD21478) | |
| 2086S0129X (Licence: IN 01082357A) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-03-10 |