| NPI | 1114146487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2009-01493) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2009-01493) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-03-17 |