NPI | 1073726469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: FL ME132261) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 056774) |
2086S0102X Surgery Surgical Critical Care (Licence: GA 056774) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-12-01 |