| NPI | 1548581101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 276706) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA09710700) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-08-10 |