| NPI | 1275509911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35-078131) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 31135) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35-078131) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-10-30 |