| NPI | 1346249323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 52120-020) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME 016639) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-10-27 |