| NPI | 1427461920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KY 58217) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 260094) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-07-14 |