| NPI | 1235393737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101247525) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 289972) |
| 208600000X Surgery (Licence: ME 131090) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-06-20 |