| NPI | 1003065673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.125230) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 245462) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2021-12-27 |