| NPI | 1679866537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS14294) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT014216) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2016-11-08 |