| NPI | 1891754370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0061406) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD055953L) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2018-09-30 |