| NPI | 1205044948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MT186151) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD432152) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-01-31 |