| NPI | 1144459645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 50068) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA CA A95901) |
| 208600000X Surgery (Licence: VA 0101246177) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2017-02-22 |