| NPI | 1215388251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA MD-49881) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.069367) |
| 208600000X Surgery (Licence: NJ 25MA10965300) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2022-08-02 |