| NPI | 1437365319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 252640) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MA 234011) |
| 208600000X Surgery (Licence: MA 234011) | |
| 207T00000X Neurological Surgery (Licence: NY 252640) | |
| 208800000X Urology (Licence: NY 252640) | |
| 208D00000X General Practice (Licence: NY 252640) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-04-17 |