| NPI | 1427477546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME140397) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT205704) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-09-09 |