| NPI | 1073719639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 76921) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD156731) |
| 208600000X Surgery (Licence: MI 4301090377) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-05-10 |