| NPI | 1447546205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q8092) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT199145) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2018-07-31 |