| NPI | 1013145135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-00676) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P3680) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-07-08 |