NPI | 1487042214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MB10871900) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
208600000X Surgery (Licence: PA OS020503) | |
Enumeration Date | 2015-01-01 |
Last Update Date | 2022-08-22 |