| NPI | 1679899439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101266480) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD043188) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2023-02-24 |