NPI | 1063755395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA12445700) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD467608) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2024-11-18 |