| NPI | 1194185751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NJ 25MA10935900) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NJ PGY1-15-0546) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2023-12-01 |