| NPI | 1467764274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NH 18961) |
| Additional Taxonomies | 208600000X Surgery (Licence: NH 18961) |
| 208600000X Surgery (Licence: GA 4135) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-09-17 |