| NPI | 1801058136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA09327100) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH Not Yet Issued) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-04-07 |