| NPI | 1568426245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL 125520) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-099830) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-08-25 |