| NPI | 1932369071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: FL ME137647) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD043751) |
| 2086S0129X (Licence: DC MD043751) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-05-31 |