| NPI | 1487644076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 70497) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME 014156) |
| 208600000X Surgery (Licence: CA G87842) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2011-10-03 |