NPI | 1508802869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD00027022) |
Additional Taxonomies | 208600000X Surgery (Licence: OR OR14546) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-12-07 |