| NPI | 1376839480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 068411) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60168479) |
| 208600000X Surgery (Licence: GA 068411) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-02-08 |