| NPI | 1407868391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0068149) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 32353) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-12-11 |