| NPI | 1588003230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL TRN24897) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 281378) |
| 208600000X Surgery (Licence: FL TRN19091) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-01-22 |