| NPI | 1710943139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ MA42562) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ MA42562) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-16 |