| NPI | 1053772269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 83073) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 83073) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2023-01-25 |