| NPI | 1689800641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD452129) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT195257) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2022-07-28 |