| NPI | 1396193181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 331005) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2023-01287) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-09-11 |