| NPI | 1053675546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: PA OS020555) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 290636) |
| 2086S0127X Surgery Trauma Surgery (Licence: NJ 25MB09861300) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2025-07-25 |