NPI | 1073777140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NM MD2016-0573) |
Additional Taxonomies | 208600000X Surgery (Licence: CT 050450) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2016-10-19 |