| NPI | 1437234572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 215255) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 215255-1) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-03-07 |