| NPI | 1730348467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2014-0801) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P7425) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-11-17 |