| NPI | 1992721500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 86304) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101240020) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-11 |