| NPI | 1740426618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA CA A123246) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08908500) |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2021-12-15 |