| NPI | 1235562091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA10234900) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA10234900) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2024-04-26 |