| NPI | 1245641711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 34.014490) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.014490) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2020-12-29 |