| NPI | 1497731038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA OS011914) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MB06398300) |
| 208600000X Surgery (Licence: RI DO00838) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-02-27 |