| NPI | 1851739585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD457871) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT204703) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-07-20 |