| NPI | 1750672614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA10678800) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CT 79728) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2025-11-04 |