| NPI | 1134242258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CT 1.082045) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 231438) |
| 2086S0129X (Licence: NH LT-3858) | |
| 2086S0129X (Licence: NH 18326) | |
| 2086S0129X (Licence: OH 35120023) | |
| 2086S0129X (Licence: MD D92768) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-07-01 |