| NPI | 1417145798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 20A9147) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR DO28911) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2011-01-03 |