| NPI | 1235525932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX u6241) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR PG206924) |
| 208600000X Surgery (Licence: TX U6241) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-01-18 |