| NPI | 1780760850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD442811) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2010009942) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-02-04 |