| NPI | 1073730065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: RI MD14003) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 225870) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-01-29 |