| NPI | 1497076012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 238763) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25 MA08759500) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-05-02 |