| NPI | 1306280292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WV 31311) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD458151) |
| 208600000X Surgery (Licence: PA MT203743) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-08-18 |