| NPI | 1811044571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD424625) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 41179) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-02-01 |