| NPI | 1326480930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA10195400) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10195400) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-04-09 |