| NPI | 1306018734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS 11488) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101017559) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2016-09-20 |