| NPI | 1316364144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MB09675000) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MB09675000) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MB09675000) | |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2016-08-18 |