| 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 |