| NPI | 1467892620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME DO3317) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R5218) |
| 208600000X Surgery (Licence: NJ 192037) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2022-01-24 |