| NPI | 1952569733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-01262) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116020206) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2024-03-18 |