| NPI | 1831253061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME126480) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN4821) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-05-07 |