| NPI | 1801840343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 04747) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 225919-1) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-08-04 |