| NPI | 1639346851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD203624) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A113359) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-12-27 |