| NPI | 1528068293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: SC 26716) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 26716) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2021-02-04 |