| NPI | 1881005726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MT205799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD045437) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2018-06-13 |