| NPI | 1093995334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 068580) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35091547) |
| 208600000X Surgery (Licence: DC MD036166) | |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2021-01-27 |