| NPI | 1346333705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 54135) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25ma07872000) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-05-03 |