| NPI | 1427157700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX P8222) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-29699) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KS 04-29699) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-12-19 |