| NPI | 1396983565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 52068) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP-10030970) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2015-06-04 |