| NPI | 1013997162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0067673) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 054703) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2011-06-17 |