| NPI | 1033104245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 033630) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT BK4017744) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-10-23 |