| NPI | 1942445895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 259998) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC bd7904445sb133) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2018-03-17 |