| NPI | 1144374786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 10235) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101010349) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-06-03 |