| NPI | 1053653980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ID Mc-2262) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 134245) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 67945) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-07-31 |