| NPI | 1528449857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MA 1014813) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 1014813) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-10-25 |