| NPI | 1619256641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2018018521) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2018018521) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2021-11-15 |