NPI | 1063626448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301508868) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD475830) |
208600000X Surgery (Licence: TX P6643) | |
208600000X Surgery (Licence: FL ME129490) | |
2086S0102X Surgery Surgical Critical Care (Licence: PA MD475830) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2024-05-21 |