| NPI | 1861656357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0069394) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD433771) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-08-29 |