| NPI | 1477724300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 233713) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: CT 048402) |
| 208600000X Surgery (Licence: CT 048402) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2013-03-15 |