| NPI | 1417298027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2020-00744) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MB09520400) |
| 208600000X Surgery (Licence: NY 271967) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2024-04-04 |