NPI | 1679806384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD169350) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT195663) |
Enumeration Date | 2009-09-13 |
Last Update Date | 2020-11-05 |