| NPI | 1023337763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35123573) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 255MA08698600) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2014-09-02 |