NPI | 1649291659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: GA 35241) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 035241) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2014-11-14 |