| NPI | 1396979175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD462529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194889) |
| 208600000X Surgery (Licence: CA A153448) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2023-07-19 |