| NPI | 1194057711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD20235) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: ME MD20235) |
| 208600000X Surgery (Licence: MI 4301101216) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301101216) | |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2014-08-22 |