NPI | 1417157009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD438400) |
Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08664200) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2015-07-08 |