| NPI | 1922480649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.148775) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2015017235) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-10-07 |