| NPI | 1003071580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD161898) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 128828) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2018-12-31 |