| NPI | 1275638504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036114043) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-114043) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 5032-320) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-04-10 |