| NPI | 1427549708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA12015900) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD480751) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-08-26 |