| NPI | 1427284041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125060703) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 38508) |
| 208600000X Surgery (Licence: NJ 25MA10434400) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2022-02-02 |