| NPI | 1245438050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2011033543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2011033543) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2011033543) | |
| 208D00000X General Practice (Licence: MO 2011033543) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-04-25 |