| NPI | 1306846399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G85233) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD189845) |
| 208600000X Surgery (Licence: NV 18168) | |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2019-05-09 |