| NPI | 1134189434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD17051) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036158770) |
| 208600000X Surgery (Licence: NY 60277802) | |
| 208600000X Surgery (Licence: MA 76180) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-12-16 |