| NPI | 1063706877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX T3059) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T3059) |
| 208600000X Surgery (Licence: NC 2017-01581) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-04-29 |