NPI | 1316380389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 20089) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 278253) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2021-02-24 |