| NPI | 1568667269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.099370) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA Md445711) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-07-21 |