| NPI | 1053407809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101236366) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 16746) |
| 208600000X Surgery (Licence: TN 31797) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 31797) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-02-08 |