| NPI | 1265639652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: IL 036-135778) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036135778) |
| 2086S0127X Surgery Trauma Surgery (Licence: IL 036-135778) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-12-08 |