| NPI | 1427123629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 73257) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA05851100) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA05851100) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-08-19 |