| NPI | 1659638740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME136942) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101267666) |
| 208600000X Surgery (Licence: PA MD460322) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2024-02-28 |