NPI | 1245216720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD45158) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD442079) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2023-12-15 |