| NPI | 1750595542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NC 2011-01943) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NH LT4104) |
| 208600000X Surgery (Licence: NJ 25MA07769600) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-06-14 |