| NPI | 1437318763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD439577) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT189310) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2013-11-18 |