| NPI | 1417122052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KS 0539363) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 262961) |
| 208600000X Surgery (Licence: KS 0539363) | |
| 208600000X Surgery (Licence: MO 2014010260) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2014010260) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2018-03-17 |