| NPI | 1346244332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 5494) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000028682) |
| 207R00000X Internal Medicine (Licence: TN MD0000028682) | |
| 208600000X Surgery (Licence: MN 57315) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2015-04-30 |