| NPI | 1003885997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 212838) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA07252000) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2026-01-22 |