| NPI | 1295984300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 272046) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-052274) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2019-02-14 |