| NPI | 1164006557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 125077854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125077854) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-04-29 |