| NPI | 1306073366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC LL31719) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: HI 17432) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-04-12 |