NPI | 1629369590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME138796) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2017016670) |
208600000X Surgery (Licence: PA MT199022) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2019-02-11 |