| NPI | 1942570023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T2427) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 47129) |
| 208600000X Surgery (Licence: TX 46855) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2023-11-01 |