| NPI | 1336434257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 292409-1) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA09930200) |
| 208600000X Surgery (Licence: NY 292409-1) | |
| 208600000X Surgery (Licence: NJ 25MA09930200) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 292409-1) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA09930200) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2023-12-11 |