| NPI | 1942317052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2019-02900) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 38133) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-07-05 |