| NPI | 1982780292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD25433) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR CP202380) |
| 208600000X Surgery (Licence: NH 12708) | |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2023-01-17 |