| NPI | 1881661239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 094586) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2007-00337) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2010-03-18 |