| NPI | 1992972533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME120489) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN12475) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2015-11-24 |