| NPI | 1235497512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA10381600) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 298439-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-10-28 |