| NPI | 1467451823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA06954000) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA MD060721-L) |
| 208600000X Surgery (Licence: KY 51460) | |
| 208600000X Surgery (Licence: PA MD060721L) | |
| 208600000X Surgery (Licence: ID M-13032) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-09-01 |