| NPI | 1265503338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101-241889) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME EC-05-130) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2009-12-31 |