| NPI | 1487009072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD478838) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT210521) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-07-22 |