| NPI | 1629239512 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA11033000)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: IA R9555)  | 
| 208600000X Surgery (Licence: SC LL30799)  | |
| 208600000X Surgery (Licence: CT 53251)  | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA1103000)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 279083)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MD D80217)  | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA11033000)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 53251)  | |
| Enumeration Date | 2008-06-23 | 
| Last Update Date | 2024-04-22 |