| NPI | 1306256516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A161919) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A161919) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-07-28 |