| NPI | 1265565626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101247354) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D005934) |
| 208600000X Surgery (Licence: DC MD034797) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-10-24 |