| NPI | 1598146789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME151235) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN# 23259) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME151235) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-07-22 |