| NPI | 1518176387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 19124) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 052083) |
| 208600000X Surgery (Licence: MA 251362) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-12-20 |