| NPI | 1245594498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A167735) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD465525) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2023-03-14 |