| NPI | 1437479052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME DO2516) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT011661) |
| 208600000X Surgery (Licence: MO 2012007469) | |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2018-10-09 |