| NPI | 1942434386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 16135) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 34137) |
| 208600000X Surgery (Licence: CO 32191) | |
| 208600000X Surgery (Licence: ME 013518) | |
| 208600000X Surgery (Licence: WI 33945) | |
| 208600000X Surgery (Licence: AK 2911) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2015-05-22 |