| NPI | 1245551290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD157292) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A107045) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-10-14 |