| NPI | 1023247285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A142918) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML60092740) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2019-03-04 |