| NPI | 1730169194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: RI MD144117) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 47608) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2013-09-12 |