| NPI | 1386172260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A178218) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT213307) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A178218) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-07-27 |