NPI | 1942278320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MI LB074975) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301074975) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2013-08-13 |