| NPI | 1518034610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.122631) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME EC-05-149) |
| 208600000X Surgery (Licence: CO 49180) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-04-02 |