| NPI | 1013128099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX M5046) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD445929) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-06-24 |