| NPI | 1669887899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A160672) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT206685) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-08-20 |