| NPI | 1205199700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 73847) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2017-00986) |
| 208600000X Surgery (Licence: GA 73847) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2017-00986) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-07-23 |