| NPI | 1558683433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2011-00098) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD438755) |
| 204F00000X Transplant Surgery (Licence: NC 2011-00098) | |
| 208600000X Surgery (Licence: PA MD438755) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2013-09-12 |