| NPI | 1922441393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 91879) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT015155) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2022-08-11 |