| NPI | 1437242815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA11320900) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD442518) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2022-07-06 |