| NPI | 1821014226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 59311) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D64664) |
| 208600000X Surgery (Licence: MA 256906) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-07-17 |