| NPI | 1346465168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A128857) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301088308) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-09-18 |