| NPI | 1891873469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G028077) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OH 35.092443) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-04-18 |