| NPI | 1205241445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A169610) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A169610) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-01-11 |