| NPI | 1841308830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A69461) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 35479) |
| 208600000X Surgery (Licence: WI 39327) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-01-30 |