| NPI | 1275762999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD20315) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND TRL11285) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2014-09-22 |