| NPI | 1023147816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA08735100) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C7-0003228) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-04-08 |