| NPI | 1043464720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX P1464) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0032096) |
| Enumeration Date | 2008-11-08 |
| Last Update Date | 2012-01-04 |