| NPI | 1285076158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: PA MD464911) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD464911) |
| 2086S0129X (Licence: PA FQ0642315) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-10-28 |