| NPI | 1447220827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2008-00011) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME 016523) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-08-22 |