NPI | 1104058643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CT 044024) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CT 044024) |
208600000X Surgery (Licence: NY 224485) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2025-06-04 |