| NPI | 1528199411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME52092) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 52092) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-10-13 |