| NPI | 1396906244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101263400) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 46874) |
| 208600000X Surgery (Licence: NC 2016-01667) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-03-17 |