| NPI | 1164451266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D56445) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D56445) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2013-01-22 |