| NPI | 1720251333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A113665) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 279543) |
| 208600000X Surgery (Licence: MA 257922) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2024-04-29 |