| NPI | 1356514202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD443507) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188039) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2015-11-30 |