| NPI | 1164846077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA09839700) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D83204) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2024-05-20 |