| NPI | 1457518219 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: CA A105854)  | 
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A105854)  | 
| Enumeration Date | 2008-05-20 | 
| Last Update Date | 2019-10-29 |