| NPI | 1801020441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD443946) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT194949) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2018-11-19 |