| NPI | 1184683674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MI 4301074366) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301074366) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-10-16 |