| NPI | 1942738562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 315525-01) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA11192400) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-07-31 |