| NPI | 1164704201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-146516) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 36523) |
| 208600000X Surgery (Licence: IL 036146516) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC 36523) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: SC 36523) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2022-04-28 |