| NPI | 1154381507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD458027) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0056305) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-06-03 |