| NPI | 1972940088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T2266) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 574417) |
| 208600000X Surgery (Licence: TN 57543) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-10-18 |