| NPI | 1144488248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 280914) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD150230) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-04-08 |