| NPI | 1538470778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A161267) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 43010978081) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2019-07-25 |