| NPI | 1396832416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2011-0065) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD38996) |
| 208600000X Surgery (Licence: AR E-5272) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-02-17 |