| NPI | 1679834790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 295407) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10468000) |
| 208600000X Surgery (Licence: PA MD459926) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-01-25 |