| NPI | 1144280322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2016-01825) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 04-20475) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-06-22 |