| NPI | 1407073224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301077643) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 54056) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-07-11 |