| NPI | 1447417522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NJ 25MA12507000) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT192343) |
| 2086S0129X (Licence: PA MD443418) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2024-12-27 |