| NPI | 1134474810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: AK 119648) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND 14947) |
| 208600000X Surgery (Licence: ND TRL 12409) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: ND 14947) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-04-21 |