| NPI | 1871799932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 34.009102) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A11225) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-08-03 |