NPI | 1578714549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: WI 68624) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101261021) |
2086S0102X Surgery Surgical Critical Care (Licence: WI 68624) | |
208600000X Surgery (Licence: DC NA) | |
Enumeration Date | 2008-10-08 |
Last Update Date | 2020-05-18 |