| NPI | 1184948861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA08787500) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 049990) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2013-04-09 |