| NPI | 1447664883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IA MD-45725) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND RL13284) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-08-14 |