| NPI | 1275755027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: FL ME133155) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: FL ME133155) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-10-05 |