| NPI | 1508832304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 38059) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 206939) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 206939) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2021-05-14 |