| NPI | 1598832263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA08419800) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036103102) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-02-19 |