| NPI | 1942658745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2024037749) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 32364) |
| 208600000X Surgery (Licence: KY 56431) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-12-11 |