| NPI | 1093872509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA11401100) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 225329) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-09-02 |