| NPI | 1184680183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35060950) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35060950) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-12-16 |