| NPI | 1255422739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO DR.0054758) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 174895) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-03-13 |