| NPI | 1679703953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2015006392) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.133357) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2017-03-14 |