| NPI | 1467423400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME78365) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 0078365) |
| Enumeration Date | 2006-01-29 |
| Last Update Date | 2019-11-06 |