| 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 |