| NPI | 1154576098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301087770) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301087770) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2021-02-23 |