| NPI | 1457612731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD454212) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: DE C1-002835) |
| 204F00000X Transplant Surgery (Licence: NJ 25MA11578500) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-08-31 |