| NPI | 1831586916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 312897) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2020022491) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2025-05-28 |