| NPI | 1457519357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0081979) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q0115) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-08-17 |