| NPI | 1710993803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM 83-108) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 83-108) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-04-20 |