| NPI | 1174784649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NV 25822) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2017-01886) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-05-30 |