| NPI | 1114970183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ MA66138) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA66138) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-08-10 |