| NPI | 1861518409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 56154) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301088261) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-09-14 |