| NPI | 1902293145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 71000) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101021502) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-09-25 |