NPI | 1316149438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME102870) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 255770-1) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2011-07-11 |