| NPI | 1447577465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: FL ME155805) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME155805) |
| 208600000X Surgery (Licence: PA MD460639) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-10-25 |