| NPI | 1396031068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: TX 1396031068) | 
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX 1396031068) | 
| Enumeration Date | 2011-06-21 | 
| Last Update Date | 2019-09-14 |