| NPI | 1912345737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 5101020617) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS019817) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-02-01 |