| NPI | 1063755817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 274976) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 274976) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2019-08-30 |