| NPI | 1407299050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 299454) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 299454) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2021-07-27 |