| NPI | 1467507350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0036480) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101043554) |
| 208600000X Surgery (Licence: DC MD15356) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |