| NPI | 1174834055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: CA A127403) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301108085) |
| 208600000X Surgery (Licence: WA MD60445640) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: OK 37504) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: MI 4301108085) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-05-14 |