| NPI | 1457516858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD188958) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA a116533) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2018-08-10 |