| NPI | 1447319801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: WA MD60635423) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60635423) |
| 208600000X Surgery (Licence: MA 230150) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-06-23 |