| NPI | 1487609285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME110167) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036114714) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-09-24 |