| NPI | 1144246679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS0004522) |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: FL OS4522) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-07-17 |