| NPI | 1831534478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD457247) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT203826) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2021-05-11 |