| NPI | 1548465123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD20129) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-231914) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2014-05-21 |