| NPI | 1598083818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.131076) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP01887) |
| 208600000X Surgery (Licence: RI MD15016) | |
| 208600000X Surgery (Licence: FL ME 127462) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2018-05-15 |