| NPI | 1467679431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WV 24504) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WV 24504) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-12-01 |