| NPI | 1366619132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E8287) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116020110) |
| 208600000X Surgery (Licence: SC LL34981) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2016-04-12 |