| NPI | 1235383464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2013-00050) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 1060118) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2014-04-16 |