| NPI | 1346483815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA09883500) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA09883500) |
| 208600000X Surgery (Licence: NJ 25MA09883500) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2016-09-13 |