| NPI | 1053675546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MB09861300) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 290636) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-03-29 |