| NPI | 1104026392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 052108) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 052108) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-07-15 |