| NPI | 1568408938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101263444) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D36424) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-11-29 |