| NPI | 1326369455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS 13211) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT013780) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2017-02-09 |