| NPI | 1023080975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101235398) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101235398) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2009-01-27 |