| NPI | 1437646684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA11841100) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64064) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-05-22 |