| NPI | 1578970471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX T2839) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 82581) |
| 208600000X Surgery (Licence: DE C2-0024395) | |
| 208600000X Surgery (Licence: TX T2839) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DE C2-0024395) | |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2023-11-21 |