| NPI | 1437342052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AR ARE6415) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AR 390200000X) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2010-08-12 |