| NPI | 1730127788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA07986400) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: ID MC-2645) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-03-05 |