| NPI | 1407345929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA OS024089) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0116038643) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-09-04 |