| NPI | 1538230883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2007-00957) |
| Additional Taxonomies | 2086S0129X (Licence: NC 2007-00957) |
| 2086S0129X (Licence: NY 232727) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2025-10-06 |