| NPI | 1437598729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301114262) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT204044) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-08-25 |