| NPI | 1205162435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA08636200) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 233786) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2023-09-28 |