| NPI | 1063690691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MA 257617) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-119777) |
| 2086S0102X Surgery Surgical Critical Care (Licence: CT 042481) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: MI 4301072064) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-08-24 |