| NPI | 1114090487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0057754) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101231499) |
| 208600000X Surgery (Licence: DC MD32433) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-21 |