| NPI | 1114109238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 46271) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD178573) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2020-04-22 |