NPI | 1457587560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D82056) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT195640) |
Enumeration Date | 2009-06-03 |
Last Update Date | 2016-11-04 |