| NPI | 1215593710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA12310200) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NJ 25MA12310200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-07-28 |