| NPI | 1215175435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 254287) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA09523400) |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: NY 254287) | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2023-11-13 |