| NPI | 1386664605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101236225) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 0101236225) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-09 |