| NPI | 1740287846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS 10301) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5315008934) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-08-09 |