| NPI | 1285863076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD456422) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 287329) |
| 208600000X Surgery (Licence: NY 287329) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-01-14 |