NPI | 1962473132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR 173564) |
Additional Taxonomies | 208600000X Surgery (Licence: CO 49875) |
208600000X Surgery (Licence: WA MD00042564) | |
208600000X Surgery (Licence: AZ 66072) | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2025-08-18 |