| NPI | 1033359211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A129837) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT186262) |
| 208600000X Surgery (Licence: PA MD439752) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2015-04-09 |