| NPI | 1922369842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 69613) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 252397) |
| 208600000X Surgery (Licence: MA 270572) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-11-21 |