| NPI | 1932473089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME107029) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A121268) |
| 208600000X Surgery (Licence: OH 35.126197) | |
| 208600000X Surgery (Licence: VA 0101260265) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-09-01 |