| NPI | 1215036520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PR 13511) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 225132) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-01-18 |