| NPI | 1437129012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD00048511) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD427182) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-08-02 |