| NPI | 1245323765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 14102) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301102356) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-10-17 |