| NPI | 1922539956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0073097) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A158456) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-08-14 |