| NPI | 1750520888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0073819) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101244373) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2020-09-02 |