NPI | 1316069776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 51735-020) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301078926) |
208600000X Surgery (Licence: OH 35 . 089507) | |
Enumeration Date | 2007-04-05 |
Last Update Date | 2010-08-17 |