| NPI | 1033348578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A138584) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD450361) |
| 208600000X Surgery (Licence: PA MT195491) | |
| 208600000X Surgery (Licence: WI 18346-875) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2019-08-27 |