| NPI | 1023194990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA MD-49183) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301088092) |
| 208600000X Surgery (Licence: ME 018649) | |
| 208600000X Surgery (Licence: MI 4301088092) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-49183) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ME 018649) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-12-09 |