| NPI | 1194047134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 60759) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 60759) |
| 208600000X Surgery (Licence: FL ME125321) | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2021-10-20 |