| NPI | 1609031574 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NE 28638) | 
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301092624) | 
| Enumeration Date | 2008-07-21 | 
| Last Update Date | 2019-03-01 |