| NPI | 1114990348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 306911) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036143309) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 306911) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2025-01-03 |