| NPI | 1568767960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A114029) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 106797) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 57032) | |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2020-12-16 |