| NPI | 1942589957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MP00262200) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00262200) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2013-07-09 |