| NPI | 1811968621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD032146E) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: PA MD-032146-E) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-01-20 |