| NPI | 1033554969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD479906) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0090056) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-05-25 |