| NPI | 1407014319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 64399) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0078855) |
| 208600000X Surgery (Licence: DC MD040588) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-07-25 |