| NPI | 1982865085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 53392) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT192712) |
| 208600000X Surgery (Licence: NY 269038) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-05-20 |