| NPI | 1518266550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD035017) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0050311) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2012-06-07 |