| NPI | 1124220652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C136829) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 253463-1) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-11-19 |