NPI | 1457650632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: UT 8405861-1205) |
Additional Taxonomies | 208600000X Surgery (Licence: UT 8405861-1205) |
Enumeration Date | 2011-03-27 |
Last Update Date | 2020-09-28 |