| NPI | 1326466384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX T2903) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019034145) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX T2903) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2019034145) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2021-08-12 |