| NPI | 1316946312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: RI MD21501) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0055097) |
| 208600000X Surgery (Licence: NY 340627) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2026-07-30 |