| NPI | 1356585533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: LA 305233) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 20A13824) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2017-08-28 |