| NPI | 1093077703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ME MD23505) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A156409) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2020-03-23 |