| NPI | 1396856647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA 00023244) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: WA 00023244) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |