| NPI | 1487815973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0081520) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 080005) |
| 208600000X Surgery (Licence: WI 61722-20) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-12-05 |