| NPI | 1699081166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09694400) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT197858) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA09694400) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2024-05-23 |