| NPI | 1134410376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A144216) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 289566) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 289566) | |
| 2086S0127X Surgery Trauma Surgery (Licence: NY 289566-1) | |
| 2086X0206X Surgery Surgical Oncology (Licence: CA A144216) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-04-26 |