| NPI | 1851480800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 049998) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ MA07735500) |
| 208600000X Surgery (Licence: NY 261213) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-12-01 |