| NPI | 1942284476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD27024) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 022836) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2018-12-27 |