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 |