| NPI | 1720236193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 54995) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2009026346) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2014-02-10 |