| NPI | 1467479402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD434688) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 219458-1) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-10-06 |