| NPI | 1114127263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD158087) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OR MD158087) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-06-27 |