| NPI | 1649777467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 331808) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 11405490-1205) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-07-11 |