| NPI | 1528405644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 297982) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP02839) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2024-03-27 |