| NPI | 1225127079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME117954) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA06117800) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-04-13 |