| NPI | 1467475152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 51097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 236364-1) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-02-03 |