| NPI | 1710951710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 048023) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD072277L) |
| 208600000X Surgery (Licence: MN 48023) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-06-23 |