| NPI | 1174782528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 69403) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0076284) |
| 208600000X Surgery (Licence: DC MD041676) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-10-20 |