| NPI | 1861785081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 269264) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI MD15459) |
| 208600000X Surgery (Licence: RI LP02244) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-05-28 |