| NPI | 1497802599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101226379) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD038970) |
| 208600000X Surgery (Licence: MD D0071083) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-11-15 |