| NPI | 1184874083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 288453) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A102693) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-11-04 |