| NPI | 1982873220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N3858) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.120779) |
| 208600000X Surgery (Licence: CA A83258) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-08-14 |