| NPI | 1396802500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0058045) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD427777) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-09-10 |