| NPI | 1164619086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA13086600) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A94102) |
| 208600000X Surgery (Licence: NJ 25MA13086600) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2026-06-26 |