| NPI | 1083616890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-060455) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036-060455) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |