| NPI | 1598926842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101265903) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD454473) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-07-21 |