| NPI | 1265757942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2016-00821) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0037256) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-11-09 |