| NPI | 1457588600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301509785) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD041042) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2023-09-15 |