| NPI | 1861648974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD448564) |
| Additional Taxonomies | 208600000X Surgery (Licence: GU MTL-2017-073) |
| 208600000X Surgery (Licence: GU M-2074) | |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2019-07-23 |