| NPI | 1245778356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 34.016672) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.016672) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-09-19 |