| NPI | 1598927477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09779700) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 261649) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-04-16 |