| NPI | 1508840216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME 018518) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9800276) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2010-07-06 |