| NPI | 1770937591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA11972100) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MA 291798) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-09-21 |