| NPI | 1225017296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD600004052) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 307230) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2025-11-21 |