| NPI | 1124204177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 58056) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A102536) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC 37530) | |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2021-10-20 |