| NPI | 1477888212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0082664) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A 110965) |
| 208600000X Surgery (Licence: AZ 53156) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2017-01-16 |