| NPI | 1396946984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME106911) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 68454) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-03-25 |