| NPI | 1629238415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 14841) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 243726) |
| 208600000X Surgery (Licence: CT 50292) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2021-11-10 |