| NPI | 1528292257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C2-0011341) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 273400) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2016-05-10 |