| NPI | 1285895482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 30781) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL 30781) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-06-23 |