| NPI | 1437349925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 39099) |
| Additional Taxonomies | 2086S0129X (Licence: WI 39099) |
| 2086S0129X (Licence: OH 35.096834) | |
| 2086S0129X (Licence: NY 240562) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2021-06-05 |