| NPI | 1942481353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2016-01915) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 221754) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2024-02-23 |