| NPI | 1689986960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA OS015713) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.009908) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2013-04-26 |