| NPI | 1356658215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.098838) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: OH 35.098838) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2017-01-11 |