| NPI | 1639660202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA12723000) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A185572) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2025-10-08 |