| NPI | 1194932418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09322300) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD427731) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-04-26 |