| NPI | 1578617395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD438344) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 195848-0) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-04-08 |