| NPI | 1184724742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 3958) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-076523) |
| 208600000X Surgery (Licence: IA 30363) | |
| 208600000X Surgery (Licence: KS 04-18487) | |
| 208600000X Surgery (Licence: MN 26886) | |
| 208600000X Surgery (Licence: MO 102806) | |
| 208600000X Surgery (Licence: NE 19963) | |
| 208600000X Surgery (Licence: MT 10609) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-09 |