| NPI | 1497794911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 4462) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A8678) |
| 208600000X Surgery (Licence: NY 2242331) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-11-13 |