| NPI | 1740389188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2007-00415) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 051877) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2014-09-16 |