| NPI | 1174681316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301092626) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 229098) |
| 208600000X Surgery (Licence: MI 4301092626) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-03-02 |