NPI | 1922310010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: ME MD23890) |
Additional Taxonomies | 208600000X Surgery (Licence: NM MD2016-0579) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2020-09-03 |