NPI | 1952835589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MB11979500) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT017711) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2023-09-27 |