NPI | 1457746190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NY 313740-01) |
Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA12324500) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2025-03-12 |