| NPI | 1043481278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 57.010447) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A121224) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2012-07-26 |