NPI | 1043445075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NJ 25MB09755200) |
Additional Taxonomies | 208600000X Surgery (Licence: TX P9261) |
2086S0102X Surgery Surgical Critical Care (Licence: KY 03713) | |
2086S0102X Surgery Surgical Critical Care (Licence: NY 280069) | |
Enumeration Date | 2009-05-19 |
Last Update Date | 2024-01-31 |