| NPI | 1811960651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 36049) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0052970) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-02-03 |